Inu kapena wokondedwa wanu mukakhala ndi khansa, n'zachibadwa kusokonezeka komanso kuchita mantha ndi chithandizocho. Makamaka dokotala akatchula mankhwala atsopano, zimakhala zovuta kudziwa bwino lomwe kuti ndi chiyani. Ndicho chifukwa chake, lero tikambirana za katemera wa `Trabectedin`, womwe umagwiritsidwa ntchito pochiza khansa . M'nkhaniyi, tikambirana za mankhwalawa m'njira yosavuta kumva, zomwe amachita, zomwe muyenera kusamala nazo mukamamwa, komanso zotsatirapo zake zomwe zingayambitse.
Kodi Trabectedin ndi mankhwala otani?
Mwachidule, Trabectedin ndi mankhwala omwe amalamulira kapena kuchepetsa kukula kwa maselo a khansa . Amagawidwa ngati mankhwala a chemotherapy . Makamaka, mankhwalawa amagwiritsidwa ntchito pochiza mtundu wa khansa wotchedwa ' Sarcoma '.
Tsopano mwina mukudabwa kuti 'Sarcoma' ndi chiyani. Ndi mtundu wa khansa yomwe imapezeka m'maselo olumikizana a thupi lathu. Taganizirani za mafupa athu, minofu, minofu yamafuta, mitsempha yamagazi ... 'Sarcoma' ndi khansa yomwe imapezeka m'malo ngati amenewo. Chifukwa chake 'Trabectedin' imaletsa maselo a khansa kuti asagawane ndikufalikira. Mankhwalawa amapezeka pamsika pansi pa dzina la 'Yondelis'.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Izi ndizofunikira kwambiri. Musanayambe kulandira chithandizo cha `Trabectedin`, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi . Mankhwalawa amatha kusokoneza matenda ena omwe mungakhale nawo. Chifukwa chake, ngati muli ndi zotsatirazi, onetsetsani kuti mwauza dokotala wanu za izi.
- Matenda a mtima : Tiuzeni ngati mwadwalapo matenda a mtima kapena muli nawo panopa. Mankhwala ena a khansa amatha kusokoneza magwiridwe antchito a mtima pang'ono.
- Matenda a impso:Impso ndi zomwe zimasefa zinyalala zambiri m'thupi lathu. N'chimodzimodzinso ndi mankhwala. Choncho ngati pali kufooka kulikonse mu impso, ndikofunikira kuti dokotala adziwe za vutoli.
- Matenda a chiwindi: Chiwindi ndi chiwalo china chofunikira m'thupi lathu. Mankhwala amasinthidwa ndi chiwindi. Chifukwa chake, matenda aliwonse m'chiwindi amatha kusokoneza kugwira ntchito kwa mankhwala.
- Maselo ofiira a m'magazi otsika: Tiuzeni ngati munakhalapo ndi maselo oyera a m'magazi, maselo ofiira a m'magazi, kapena ma platelet ochepa m'magazi anu.
- Kupweteka kapena kufooka kwa minofu: Ngati nthawi zambiri mumamva kupweteka kapena kufooka kwa minofu, tidziwitseni.
- Ziwengo: Izi ndizofunikira kwambiri. Ngati muli ndi vuto la ziwengo, osati Trabecctin yokha, komanso mankhwala ena aliwonse, chakudya, utoto, kapena mankhwala osungira, muyenera kuuza dokotala wanu za izi.
- Mimba kapena kuyesa kutenga mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukuganiza kuti muli ndi pakati, muyenera kuuza dokotala wanu musanayambe chithandizochi. Mankhwalawa akhoza kuvulaza mwana wosabadwa.
- Kuyamwitsa: Ngati ndinu mayi woyamwitsa, muyeneranso kudziwitsa dokotala.
Ndikofunikira kwambiri kuti mukhale otetezeka kulankhula ndi dokotala momasuka popanda kubisa izi.
Ndingakupatseni bwanji mankhwala awa?
`Trabectedin` si piritsi kapena madzi omwe mumamwa kunyumba. Ndi jakisoni m'mitsempha. Izi zikutanthauza kuti chithandizochi chimaperekedwa kuchipatala kapena kuchipatala ndi gulu lachipatala lophunzitsidwa bwino.
Mankhwalawa nthawi zambiri amaperekedwa kudzera m'mitsempha kudzera mu botolo la saline. Izi zimatenga nthawi. Nthawi iliyonse mukalandira chithandizo, mudzapatsidwa kabuku kapadera kodziwitsa anthu za mankhwalawa kotchedwa `MedGuide`. Kali ndi zambiri zofunika zokhudza mankhwalawa. Ndikofunikira kwambiri kuwerenga mosamala musanayambe chithandizo chilichonse.
Kodi mungachite chiyani ngati mlingo wa mankhwala wawonjezeka?
Popeza mankhwalawa amaperekedwa kuchipatala, moyang'aniridwa mwachindunji ndi madokotala ndi anamwino, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso chimakhala chochepa kwambiri. Komabe, ngati mukukumana ndi zizindikiro zachilendo, dziwitsani gulu lachipatala nthawi yomweyo. Kupanda kutero, imbani dokotala wanu. Pakagwa mwadzidzidzi, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Nanga bwanji ngati ndaphonya nthawi yolandira chithandizo?
Chithandizochi chimaperekedwa pa nthawi yake. Chifukwa chake, ndikofunikira kwambiri kulandira chithandizo pa masiku ndi nthawi zomwe dokotala wapereka. Musaphonye nthawi yolandira chithandizo pazifukwa zilizonse. Ngati pazifukwa zina simungathe kufika pa tsiku lomwe mwakonza, imbani pasadakhale ndipo dziwitsani gulu lanu lachipatala ndikukonza tsiku lina.
Zinthu zina zomwe zingagwirizane ndi Trabectedin
Mankhwala ena omwe mumamwa angakhudze momwe mankhwalawa amagwirira ntchito. Komanso, Trabectin imatha kusintha momwe mankhwala ena amagwirira ntchito. Izi ndi zomwe timatcha kuyanjana.
Choncho, uzani dokotala wanu zonse zomwe mumagwiritsa ntchito. Izi zikutanthauza:
- Mankhwala olembedwa ndi dokotala pa matenda ena
- Mankhwala osaperekedwa ndi dokotala
- Mavitamini, mankhwala ochokera ku zitsamba, kapena zakudya zina zowonjezera
- Mankhwala a Sinhala kapena Ayurvedic
Nazi zina mwa zinthu zomwe zingagwirizane ndi `Trabectedin`.
- Mankhwala oletsa mavairasi operekedwa kwa HIV kapena Edzi
- Maantibayotiki ena, monga `clarithromycin` ndi `telithromycin`.
- Mankhwala ena operekedwa pa matenda a bowa, mwachitsanzo `ketoconazole`, `itraconazole`.
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga khunyu (monga carbamazepine ndi phenytoin)
- Madzi a mphesa
- Chomera cha St. John's wort
- Mankhwala monga 'Rifampin'
Mndandandawu sunathe. Chifukwa chake, ndi chitetezo chanu kuuza dokotala wanu za mankhwala onse omwe mumamwa, komanso ngati mumasuta kapena kumwa mowa.
Zinthu zomwe muyenera kusamala nazo makamaka mukalandira chithandizo
Gulu lanu lachipatala lidzayang'anira thanzi lanu mosamala kwambiri panthawi yonse ya chithandizo chanu, ndipo muyeneranso kusamalira thupi lanu.
Kumva kuti simukudwala
Mankhwala a chemotherapy amakhudza maselo a khansa komanso maselo athanzi m'thupi lathu. Choncho ndi zachilendo kumva kutopa, kutopa, komanso kusapeza bwino panthawi ya chithandizo. Ngakhale mutakumana ndi mavuto amenewa, pitirizani kulandira chithandizo mpaka dokotala wanu atakuuzani kuti musiye. Koma onetsetsani kuti mwadziwitsa gulu lanu lachipatala za zotsatirapo zilizonse zomwe mumakumana nazo.
Kuopsa kwa matenda
Mankhwalawa angafooketse chitetezo cha mthupi lanu, zomwe zikutanthauza kuti mungakhale ndi mwayi wodwala kwambiri.
- Muli ndi malungo, kuzizira, pakhosi, komanso chifuwa.Ngati mukumva zizindikiro za chimfine, monga mphuno yotuluka madzi, musayese kumwa mankhwala nokha, koma imbani dokotala nthawi yomweyo kuti akupatseni malangizo.
- Chepetsani kupita kumalo odzaza anthu komanso kucheza ndi odwala momwe mungathere.
Kugwiritsa ntchito mankhwala ochepetsa ululu
Ndikofunikira kwambiri kudziwa ngati muli ndi malungo panthawiyi. Kumwa mankhwala ochepetsa ululu monga `Aspirin`, `acetaminophen` (Panadol), `ibuprofen`, `naproxen` kungathe kuchepetsa malungo m'thupi ndikuletsa matenda. Chifukwa chake, musagwiritse ntchito mankhwala ochepetsa ululu awa popanda kufunsa dokotala wanu.
Thanzi la mano
Pa nthawi ya chithandizo, m'kamwa mwanu mumakhala ndi vuto la kutuluka magazi. Matenda amathanso kuchitika. Choncho khalani ofatsa komanso osamala mukamatsuka mano anu ndi floss. Ngati mukufuna chithandizo chilichonse cha mano, onetsetsani kuti mwauza dokotala wanu wa mano kuti mukumwa Trabectedin.
Mimba ndi kukhala ndi ana
Nkhaniyi ndi yofunika kwambiri kwa akazi ndi amuna.
- Kwa akazi: Muyenera kupewa kutenga mimba mukumwa mankhwalawa komanso kwa miyezi iwiri mutatha kumwa mankhwala omaliza. Mankhwalawa angayambitse mavuto aakulu obereka mwana wosabadwa. Muyenera kuyesedwa mimba musanayambe kulandira chithandizo kuti muwonetsetse kuti simuli ndi pakati. Muyeneranso kugwiritsa ntchito njira yodalirika yolerera panthawiyi. Lankhulani ndi dokotala wanu za izi.
- Kwa amuna: Muyenera kupewa kubereka mwana mukumwa mankhwalawa komanso kwa miyezi 5 mutatenga mankhwala omaliza. Ndikofunikira kugwiritsa ntchito kondomu panthawi yogonana.
- Kuyamwitsa: Pewani kuyamwitsa kwathunthu mukamamwa mankhwalawa.
- Kubereka: Mankhwalawa angakhudze kubereka. Ngati muli ndi nkhawa iliyonse pankhaniyi, lankhulani ndi dokotala wanu.
Zotsatirapo zoyipa zomwe muyenera kuzisamala nazo
Monga mankhwala ena aliwonse, `Trabectedin` ingayambitse zotsatirapo zoyipa. Si aliyense amene amazipeza. Komabe, ndikofunikira kudziwa za izo. Tiyeni tigawane zotsatirapo zoyipazi m'magulu awiri.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa gulu lanu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, kuvutika kupuma. Izi ndi zadzidzidzi ndipo zimafuna chithandizo chachangu. |
| Matenda a kutayikira kwa capillary | Kupweteka m'mimba kapena minofu, kutopa kosazolowereka, kukomoka, kuchepa kwa mkodzo, kutupa kwa akakolo, manja, ndi mapazi, komanso kupuma movutikira. |
| Kulephera kwa mtima | Kuvutika kupuma, kutupa kwa akakolo, mapazi, kapena manja, kuwonjezeka thupi mwadzidzidzi, kumva kutopa kwambiri kapena kufooka. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa, kupweteka pokodza. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa mimba kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso khungu kapena maso achikasu. |
| Kuvulala kwa minofu | Kutopa kosazolowereka, kupweteka kwa minofu, mkodzo wakuda wachikasu kapena bulauni, kuchepa kwa mkodzo. |
| Kutuluka magazi kosazolowereka kapena kuvulala | Kutuluka magazi kosalekeza ngakhale pa bala laling'ono, zomwe zimayambitsa mabala osafunikira pansi pa khungu. |
| Ululu pamalo obayira jakisoni | Kufiira, kutupa, kutentha, kupweteka, kapena matuza/mabala ozungulira malo obayira jakisoni. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa: | |
| Mavuto a m'mimba | Kudzimbidwa, Kutsegula m'mimba, Kusanza, Kusanza. |
| Mavuto ena ofala | Kutopa, mutu, kusowa chilakolako cha chakudya. |
Uthenga Wopita Nawo Kunyumba
- `Trabectedin` ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza khansa yotchedwa `Sarcoma`. Amaperekedwa kuchipatala, moyang'aniridwa ndi dokotala.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a Sinhala), ndi ziwengo musanayambe kulandira chithandizo.
- Ngati mukumva malungo, zizindikiro za matenda, kutuluka magazi kosazolowereka, kapena zotsatirapo zina zoopsa panthawi ya chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
- Ndikofunikira kuti akazi ndi amuna agwiritse ntchito njira zodalirika kwambiri zolerera kuti apewe kutenga pakati panthawi ya chithandizo komanso kwa nthawi yayitali pambuyo pake.
- Kambiranani momasuka ndi dokotala wanu za mafunso, mantha, kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza chithandizo chanu. Iwo ndi okonzeka nthawi zonse kukuthandizani.
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